title: Views, barriers, and suggestions for colorectal cancer screening among american Indian women older than 50 years in the midwest.
abstract: OBJECTIVE
  Although colorectal cancer (CRC) mortality rates in the US population have shown a decline, American Indian (AI) CRC mortality rates appear to be increasing. CRC screening rates of AIs remain low when compared with other ethnic groups. The research team explored women's perceptions toward CRC screening, existing barriers, and suggestions to promote education and screening among AI women in Kansas and Missouri.
  
  
  METHODS
  Using a community-based participatory research approach, the authors conducted 7 focus groups with AI women older than 50 years (N = 52) to better understand their perceptions of and attitudes toward CRC screening.
  
  
  RESULTS
  Women recognized barriers to screening, such as embarrassment, privacy issues, fear, insurance, and cost. They countered perceived barriers through inventive suggestions for education and awareness via social support systems and intergenerational relationships.
  
  
  CONCLUSIONS
  CRC screening interventions for AI must be culturally tailored.
authors.affiliation: Department of Family Medicine, Center for American Indian Community Health, University of Kansas Medical Center, Kansas City, KS 66160, USA. mfilippi@kumc.edu
authors.forename: Melissa K
authors.initials: MK
authors.lastname: Filippi
authors.forename: Aimee S
authors.initials: AS
authors.lastname: James
authors.forename: Sarah
authors.initials: S
authors.lastname: Brokenleg
authors.forename: Myrietta
authors.initials: M
authors.lastname: Talawyma
authors.forename: David G
authors.initials: DG
authors.lastname: Perdue
authors.forename: Won S
authors.initials: WS
authors.lastname: Choi
authors.forename: K Allen
authors.initials: KA
authors.lastname: Greiner
authors.forename: Christine M
authors.initials: CM
authors.lastname: Daley
mesh_terms: D003113:Colonoscopy / Q000191:economics / Q000523:psychology* / Q000706:statistics & numerical data; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control*; D055812:Community-Based Participatory Research; D055088:Early Detection of Cancer / Q000379:methods / Q000523:psychology* / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data; D007348:Insurance, Health; D007615:Kansas / Q000453:epidemiology; D017533:Marital Status; D008875:Middle Aged; D008923:Missouri / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000523:psychology; D010865:Pilot Projects
keywords: American Indian; colorectal cancer; colorectal cancer screening; community-based participatory research